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This may include people who: Are early in treatment Recently changed their dose Already have nausea, vomiting, reflux, diarrhea, or constipation Have trouble staying hydrated Have diabetes or take blood sugar-lowering medication Have a history of pancreatitis Have gallbladder disease or gallstones Have liver disease or abnormal liver enzymes Drink heavily or binge drink Have a history of alcohol use disorder Are pregnant, trying to become pregnant, or breastfeeding Are taking other medications that interact with alcohol If any of these apply to you, do not guess

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This dual-action mechanism may influence appetite control and metabolic response differently

The primary course of treatment usually includes habit reversal therapy (HRT), which is a form of cognitive behavioural therapy (CBT)

The body breaks down peptides via proteolytic enzymes in the blood, liver, and kidneys meaning smaller peptides often have shorter half-lives